Blimey, there's always something happening on this thread!!
nearly50 I think I would have had a heart attack, especially with the eye mask on. OMG, you must have had such a shock. We lived through a mini earth quake once in LA, I slept right through it, hubby thought it was someone trying to get into the house. (Still didn't make him get up and check though!!).
I think this sleeping problem is a really difficult issue to resolve. Lack of sleep just compounds all the other rotten stuff peri slings at us. Last spring I decided to take the bull by the horns and try to review everything. Hubby had given up even attempting to sleep beside me and had off camped to another room, that helped!! I stripped off the duvet and quilt and bought a cotton waffle blanket from JL which I use with a top sheet. All bedding 100% cotton, cotton lawn pjs (mine cost a fortune from the White Company but M and S have some very fine white ones at the moment). I found sleeping in the buff too chilly and also if hot and flushy, bedding had to be changed every other day. So the lawn pjs helped. I find it far better to be chilly rather than warm.
I know it's unusual but the Vagifem has reduced my night sweats/adrenaline surges dramatically, still get them occasionally but they are not as savage and I can go back to sleep. I really found that the before bed light snack helped, possibly to maintain blood sugar levels to ease the adrenal strain through the night. Who knows though!
Sparkle, how often are you taking the Vagifem? Your doc will know best but mine told me that you need to do the full every day two week
load in order for the cells to be plumped sufficiently in order for it to work efficiently, then after that just a maintenance dose which she said differs from woman to woman. Thank God she is really switched on and recognises we are all different. It would seem that women regularly need to do a reload, maybe once a year but as any blip dictates. She told me to go ahead and do this if nec. The fact that the urine urgency etc is problematical for you may also indicate that (aside from the possibility of an infection etc which you would probably be aware of) maybe you're not taking enough Vagifem. But trust me, I'm not a doctor!!

Could you try nil by fanny? Nothing other than the Vagifem for a while. I've found I'm now reacting to everything and am washing very carefully with water alone. If I start to feel a little 'dry' after the shower I will apply the Yes VM but this is only very very occasionally. You tried the Yes WB before without reaction though I seem to remember. Maybe that will better suit you, we are all different! Watch those fannies girls, it seems VA is far easier to treat if caught early!!

Machair makes a very pertinent comment though about sanitary products causing irritation by the end of a period, so many now have fragrance added. Why the heck do they do that?
nearly50 my last few years were like you re cycle lengths, just another sign that you are well on the way. Have a scroll back on here, I know that we had that conversation and I jotted down my last two year history.
Machair what are the hormones doing at the mo? How are you feeling? I'm hoping that you're repairing from the horrible burglary!
Love to you all xx